98-103238 , ,°g—)° a3a
CITY OF FEDERAL WAY � ppp'Jll p Mi
PERMIT NO: MEC98-0179
33 530 First Way South �'`''� 9.;�. tc. IfoIt i';:'.r 114 ..,ii ��",,.:I' II `�;;:;; F'�.�,�. '`''li .' . ,,.11... ISSUED: 08/21/98
Federal Way , WA 98003 Mechanical Inspection Requests 253-661-4140pBY : RT
253--661--4000 EXPIRES: 02/16/99
ADDRESS: 32030 23RD AVE S
NO. : 162104-9028
PROJECT DESCRI PT ION:RELOCATION OF GRILLS
OWNER ____._.__._.__._._..__._.___
f= - -----------• -----� -- � T CONTRACTOR g LENDER .
I APPLE PHYSICAL THERAPY I ELECTROMATIC SALES/SERVICE INC i{
32030 23RD AVE S 800 MERCER ST
FEDERAL WAY WA 98023 1 SEATTLE WA 98109 I
425-455-5045 1 624-3370
I ELECTI*233NE 1
Iss CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 u:
PROJECT VALUATION 2000 FEES:
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 34.00
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 1 3-15 TON • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 TON...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0
BBQ • 0 MISC • 0 50+ TON • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS I
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 I
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 I TOTAL FEES $ 54.00
Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No (If "Yes" then water expansion tank is required on Hot Water Tank)
t s
Inspection Record: Mechanical Rough-in Date Gas Piping Date
MECHANICAL FINAL Date €
1 k
PERMITS EXPIRE 180 DAYS AFTER CE If NO W STARTED.
I CERTIFY THE INFORMATION F D ' AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL MAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE Y Zi —CAB
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City of Federal Way
CITY OF i'----*"' ii First Way South �74C�
® �"' Federal Way, WA 98003 .
�A�,'� (206)661-4000 46 ��v"��
APPLICATION FOR MECHANICAL PERMIT lon
6FOT,kktiYPARCEL #• Single Family ❑ Multi-Family o
Commerciaj
SITE LOCATION:
A Tenant/Owner: r'P'-C Pt-FYSI��- {{E(gyp
y Phone:
Address/City/State2ip: 203p 2-7721-cSO, F =R.p _ (-.)/0/ • W A 9$003
Nature of work: gEL'-it'C-"AtT(a'3 0 (.. 2.Iu.s Project Valuation: $ 2-000
APPLICANT:
Name: � 'T�MA'TtG 5 •�
Address/City/St/Zip: goo ME +e- ST. �jE�}�-t t �1 ag(09
Contact Person: R I C-1.i, C... 1 ‘`. c.---:_-!A Phone: '6 3 .7O Fax: 623 -6(44)
MECHANICAL CONTRACTOR:
Company Name: El i"-r�T(G SALES
Address/City/St/zip: SOO /Y�� . ST. .._.,4---c---r-z. Li/4.. 8(13(09
e
Contact Person: .--Ek ItD Phone: Ova.'6ts/"33 kDFax: 623-6_(60
State L & I Contractor Registration #: �-�L�1 Zs��N� II(Card must be presented) Exp. Date:
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping Range Air Handling = ,
> 10000cfm
Above Ground
Furn <100K BTU's Gas Log Unit Heater
Underground
Furn >100K BTU's Fans Boiler BTU/H
Miscellaneous
Gas Hwt Hood
Boiler BTU/H Other
Cony Burner Duct Work A/C TONS
Other
BBQ s Wood Stoves A/C TONS
?Tota#fJitft Count
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge and further that I am authorized by the owner of the above
premises to perform the work for which permit application is madc. I further a. to save harmless the City of Federal Way as to any claim(including
incurred in investigation and defense of such claim), ich be- -'•e ba costs,but only her attorneys'hlamfees
y person,includingheinformation
the on supplied
ed,and filed against nt the City of Fedeny Way only where■uch claim arises
out of the reliance of the City,including its office e o up.,-/accuracy of the information a
applied to the City as a part of this application. 8
Owner/Agent: Date: ^Z( g,